States/HP Names
Appeals
Doc Types
Claim Numbers
CC Team
100

The HP name for FL

What is Sunshine?

100

Dispute Form Only

What is the appeal rule for AR, FL, IA, LA?

100

0H

What is an adjustment?

100
The first character in a claim number

What is a letter?

100

Christa Helm

Who is our Auditor?

200

Buckeye

What is the HP name for Ohio?

200

The symbol that if marked, it does NOT count as an appeal

What is an asterisk? *

200

0N

What is a COB?

200

R, C, W

What letters in the 7th spot of a claim # cannot be keyed?

200

1906

What is the TC code for downtime?


300

The HP name for GA

What is Peach State?

300

An exclamation mark

What symbol indicates an LOB has outliers?

300

Corr Outlier

What is 3E?


300

Julian date of received mail

What do the first three numerical characters indicate?

300

Audit Reviews

What is TC code 6594?

400

Sunflower

What is the HP name for KA?

400

Appeal Verbiage unless ADJUSTMENT FORM is attached

What is OH?

400

Member Reimbursment

What is 1I?

400

5 numbers, 2 letters, 5 numbers

What is a Fidelis claim number?

500

The HP name for NC

What is Carolina Total Care?

500

The 7 states/HP highlighted yellow

What are CA, CX, FP, MI, MP, OK, & RH

500

1P

What are Stock Checks?

500

Year 2026

What does Z indicate in the claim number?